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Kidney DysfunctionPhase 1NCT02840812

Pharmacokinetics Study of Nemonoxacin Malate Capsules in Subjects With Severe Impaired Renal Function

A Phase 1 study testing Nemonoxacin in people with Kidney Dysfunction, run by Zhejiang Medicine Co., Ltd. at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

This is a single center, open-label, non-randomized, 1:1 parallel control and single dose administration study design. Healthy subjects will be matched to severe renal function impaired (eGFR≤30mL/min/1.73m2,CKD-EPI estimated) subjects in age, gender and weight as parallel control, which matches healthy with normal… Read more about this study

Who is it for?
Ages 18 to 70 yearsHealthy volunteers can take part
Conditions the study is for
Kidney Dysfunction
What is being tested?
Nemonoxacin
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
24 participants
Where
1 siteChina
Study dates
5 Apr 2017to Jan 2019
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Subjects with kidney impairment
  • male or female aged 18 to 70 years;
  • has a body mass index of 17 to 30 kg/m2;
  • Patients with severe impaired renal function or end-stage renal disease (eGRF≤30ml/min/1.73m2, CKD-EPI estimated),and don't have hemodialysis.
  • Female volunteers must meet:
  • Has sterilization operation, or who are postmenopausal must have been postmenopausal for >1 year, or
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  • Has childbearing potential, but meet the requirement as following:
  • Negative pregnancy test prior to enrollment, and Agree with use 1 medical accepted methods of birth control (eg. Hormonal contraceptive, barrier contraceptive with additional spermicide, or an intrauterine device) during the whole study and continuing until 1 month after the end of the study, and Non-breastfeeding;
  • Male volunteers must agree to use medical accepted method of birth control (e.g. barrier contraceptive or sexual partner use the method as (4) above) during the study and through 1month after the end of study;
  • Agree stay in ward prior to dosing within 48h, and agree not to take coffee, tea, chocolate, alcohol, grapefruit juice, orange juice and other food and drink which contain caffeine and xanthine;
  • Can sign informed consent form on his own accord;
  • Can comply with study procedures.
  • Healthy subjects without renal impairment
  • Male or female volunteers (matched to a subject with renal impairment in gender);
  • Aged 18 to 70 years (matched to a subject with renal impairment±5 years, matched range cannot exceed±5 years);
  • Has a body mass index of 17 to 30 kg/m2(matched to a subject with hepatic impairment±15%,matched range cannot exceed±15%);
  • Must be in good health as determined by screening medical history, physical examination, vital signs, laboratory test, B ultrasonography and chest X ray;
  • Renal function is normal (eGFR≥90mL/min/1.73m2)
  • Female volunteers must meet:
  • Has sterilization operation, or who are postmenopausal must have been postmenopausal for >1 year, or
  • Has childbearing potential, but meet the requirement as following:
  • Negative pregnancy test prior to enrollment, and Agree with use 1 medical accepted methods of birth control (eg. Hormonal contraceptive, barrier contraceptive with additional spermicide, or an intrauterine device) during the whole study and continuing until 1 month after the end of the study, and Non-breastfeeding;
  • Male volunteers must agree to use medical accepted method of birth control (e.g. barrier contraceptive or sexual partner use the method as (6) above) during the study and through 1month after the end of study;
  • Agree stay in ward prior to dosing within 48h, and agree not to take coffee, tea,chocolate, alcohol, grapefruit juice, orange juice and other food and drink which contain caffeine and xanthine;
  • Can sign informed consent form on his own accord;
  • Can comply with study procedures

Who cannot join

  • Subjects with kidney impairment
  • Has known or suspected allergies to quinolones, fluoroquinolones,Nemonoxacin or excipients or allergic constitution;
  • Has diseases (e.g. unstable cardiac disease, uncontrolled hypertension, uncontrolled asthma, uncontrolled diabetes, uncontrolled thyroid disease, uncontrolled epilepsy, myasthenia gravis or other neuromuscular disease, which may affect PK profile of drug in vivo or increase the risk in study except the disease caused renal function impaired;
  • Has moderate or severe anemia (Hb<60g/L), severe hypertension (SBP>180mmHg and/or DBP>110mmHg) or diabetic nephropathy;
  • Has history of clinically significant cardiovascular, neurological or psychiatric, gastrointestinal, pulmonary, renal, endocrine disease prior to study within 1 year;
  • Has disease seriously affect the immune system such as hematological disease, malignant tumor, or taking immunosuppressant;
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  • Scr changes exceed more than 30% compared with baseline (Renal function tests two weeks before screening period ,even not conducted in this study can performed as baseline);
  • Has uracratia or anuria;
  • Has significant drug change including prescription drugs, non-prescription drugs or nutritional regimen 2 weeks before dosing(judged by investigator);
  • Has administration of drug which eliminated mainly via kidney or damage kidney 2 weeks before dosing or need combination use in the study (e.g. TMP-SMZ or non-steroid anti-inflammatory drug);
  • Has a history of alcoholism within 2 years prior to dosing; drink≥12 times within 3 months prior dosing; alcohol test positive as screening;
  • Has history of drug misuse within 2 years prior to dosing; urine drug screen positive;
  • Has history of taking products of tobacco or nicotine more than 5 cigarettes/day within 1 month prior to dosing, or cannot stop smoking during the study;
  • Use of another investigational drug or drug which can damage hepatic function within 3 months prior to dosing;
  • Has history of blood donation 3 months before study;
  • Use of drugs affect function of liver metabolism enzyme (e.g. benzene, isopropyl amine, the barbiturates benzodiazepines, marijuana, cocaine, opiates and phencyclidine) within 30 days prior to dosing;
  • Has to take the drug which may affect the PK profile of investigate drug (e.g. antacids, sucralfate, metal cation, calcium supplements, warfarin, nonsteroidal anti-inflammatory drugs, theophylline, cyclosporine, probenecid and cimetidine);
  • Has gastrointestinal disease or malabsorption syndrome affecting drug Absorb;
  • Has history of seizures or central nervous system disease which the investigator considers to interfere with compliancy of protocol; or has risk of suicide;
  • Clinical significant abnormal 12-lead electrocardiograms (ECGs) at screening (eg. atrioventricular block, torsades de pointes ventricular tachycardia (TdT), and other types of ventricular tachycardia, ventricular fibrillation, ventricular flutter, T wave change with clinical significance or any abnormal results of 12-lead ECG which affect QTc interphase);
  • HIVAb, HBsAg, HCVAb or syphilis RPR test positive;
  • Not agree stay in ward prior to dosing within 48h, and agree not to take coffee, tea,chocolate, alcohol, grapefruit juice, orange juice and other food and drink which contain caffeine and xanthine;
  • Conditions investigator consider not suitable to be enrolled in the study.
  • Healthy subjects without kidney impairment
  • Has known or suspected allergies to quinolones, fluoroquinolones, nemonoxacin or excipients or allergic constitution;
  • Has a history of alcoholism within 2 years prior to dosing; drink≥12 times within 3 months prior dosing; alcohol test positive as screening;
  • Has history of drug misuse within 2 years prior to dosing; urine drug screen positive;
  • Has history of taking products of tobacco or nicotine more than 5 cigarettes/ day within 1 month prior to dosing, or cannot stop smoking during the study;
  • Donated blood or use of another investigational drug within 3 months prior to dosing;
  • Has history of chronic liver, renal, cardiovascular, neurological or psychiatric, gastrointestinal, pulmonary, urinary, endocrine disease cannot controlled by drugs;
  • Use of drugs affect function of liver metabolism enzyme within 30 days prior to dosing; or need to take medications which may affect the PK profile of investigational drug (including: products containing Calcium, aluminum, magnesium, iron and zinc, sucralfate, antacid, nutrition supplements, Vitamins and metal supplements) during the study;
  • Is taking any antibacterial agents;
  • HIV-Ab, HBsAg ,HCV-Ab or syphilis RPR positive;
  • Clinical significant abnormal 12-lead electrocardiograms (ECGs) at screening (eg. atrioventricular block, torsades de pointes ventricular tachycardia (TdT), and other types of ventricular tachycardia, ventricular fibrillation, ventricular flutter, T wave change with clinical significance or QTc>450ms) ;
  • Has abnormal result of laboratory test with clinical significance assessed by investigator at screening;
  • Has gastrointestinal disease or malabsorption syndrome affecting drug Absorb;
  • Has history of seizures or central nervous system disease which the investigator considers to interfere with compliancy of protocol; or has risk of suicide;
  • Has any antibacterials, glucocorticoids, immunosuppressive agents or drug may damage organs within 14 days prior to dosing;
  • Cannot orally take drug;
  • Has history of or currently has disease and condition may affect the safety and efficancy assessment of investigational drug judged by investigator;
  • Conditions investigator consider not suitable to be enrolled in the study;
  • Is a member of the clinical site personnel directly affiliated with this study;

Trial locations and contacts

1 site in 1 country.

China1 site, 1 recruiting
  • ZheJiang Medicine

    Shaoxing

    Wei Mao, +86 575-86026539, maow@xcpharma.com

    Jing Zhang, Doctor

    Recruiting

Other trials in China

About this study

This is a single center, open-label, non-randomized, 1:1 parallel control and single dose administration study design. Healthy subjects will be matched to severe renal function impaired (eGFR≤30mL/min/1.73m2,CKD-EPI estimated) subjects in age, gender and weight as parallel control, which matches healthy with normal renal function according to the of subjects with impaired renal function as, after enrollment of subjects with severe impaired renal function (eGFR≤30mL/min/1.73m2,CKD-EPI estimated). Renal function impaired group and control group both receive orally single-dose of nemonoxacin malate capsule (0.5g). Collect the blood and urine samples before and after the administration to perform pharmacokinetic analysis and safety observation.

Read the detailed description

Single dose study: evaluate safety and tolerability of oral nemonoxacin capsule 500mg

Being tested
Nemonoxacin

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • NemonoxacinDrug

    Also called Nemonoxacin Malate Capsules

    Nemonoxacin Malate Capsules 500mg single dose oral

Study groups in NCT02840812
Study groupRoleWhat they receive
Renal function impairedExperimentalSubject with Severe Impaired Renal Function. Nemonoxacin Malate Capsules 500mg single dose oral
Receives: Drug: Nemonoxacin
Healthy SubjectsExperimentalHealthy volunteers. Nemonoxacin Malate Capsules 500mg single dose oral.
Receives: Drug: Nemonoxacin

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function:maximum plasma drug concentration ( Cmax)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  2. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function: time at which maximum plasma concentration is observed (Tmax)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  3. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function: area under the plasma concentration vs. time curve (AUC0-t and AUC0-∞)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  4. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function: elimination half-life (t1/2)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  5. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function: mean dissolution time(MRT)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  6. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function: total clearance of the drug from plasma (CLz/F)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  7. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function: Apparent Volume of Distribution (Vz/F)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing

  8. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function: cumulative amount of unchanged drug excreted into the urine (Ae Urine 0-24h,0-72h)

    Measured: Within 72h after dosing

  9. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function::renal clearance of the drug from plasma (CLr)

    Measured: Within 72h after dosing

  10. Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function:minimum plasma drug concentration (Cmin)

    Measured: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing]

Secondary outcomes (8)
  1. Safety assessed by AEs

    reported spontaneously or not by leading questions

    Measured: up to 72 hours after study drug dosing

  2. Safety assessed by vital signs-respiratory rate

    respiratory rate, "times per minute"

    Measured: up to 72 hours after study drug dosing

  3. Safety assessed by vital signs-body temperature

    body temperature, "degree centigrade"

    Measured: up to 72 hours after study drug dosing

  4. Safety assessed by vital signs-blood pressure

    blood pressure, "mmHg"

    Measured: up to 72 hours after study drug dosing

  5. Safety assessed by vital signs-pulse rate

    pulse rate, "beats per minute"

    Measured: up to 72 hours after study drug dosing

  6. Number of Participants with Abnormal Laboratory Values

    Hematology, blood biochemistry,cogulation test and urinalysis

    Measured: up to 72 hours after study drug dosing

  7. Safety assessed by physical examination

    (1) general appearance (2) skin (3) head and neck (4)chest, including heart, pulmonary and breast (5) abdomen, including stomach and intestines, liver and gallbladder (6) back (7) Urinary tract (8) extremity (9) neurological or psychiatric system (10) lymph gland (11)others.

    Measured: up to 72 hours after study drug dosing

  8. Safety assessed by 12-lead ECGs

    Measured: up to 72 hours after study drug dosing

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jul 2016 (estimated)
  2. Study start5 Apr 2017
  3. Primary completionJan 2019 (estimated)
  4. Study completionJan 2019 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
24 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02840812
Sponsor's protocol ID
XCNN-150830-2
Status last verified
Apr 2018
First submitted
19 Jul 2016
Last updated
3 Apr 2018
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Nemonoxacin in people with Kidney Dysfunction, run by Zhejiang Medicine Co., Ltd. at 1 site in China.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 26 inclusion and 42 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 3 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Each site lists its own contact: choose the nearest one under Trial locations. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pharmacokinetics (PK) parameters of single oral dose of nemonoxacin in severe impaired renal Function:maximum plasma drug concentration ( Cmax) (time frame: Pre-dose, 0.5h,1h, 1.5h, 2h, 4h, 6h, 8h, 12h, 24h, 48h, 72h after dosing). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Apr 2018.

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